Siena Skilled Nursing & Rehabilitation Center

Name: Siena Skilled Nursing & Rehabilitation Center
Address: 11600 Education Street, Auburn, CA, 95603, US
Telephone: 5308890707

11600 Education Street, Auburn, CA 95603 · Placer County · 107 certified beds · avg 90 residents/day · certified since Oct 8, 1999

Part of chain: GENERATIONS HEALTHCARE (27 facilities, chain avg rating 4.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

$4,194

Fines, last 3 years

5.25

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 4, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 3, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 14, 2025	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 14, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 14, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 14, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 14, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 25, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Sep 12, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Nov 21, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Nov 21, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Oct 13, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 13, 2022	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Oct 13, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 13, 2022	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Worst severity that year
2022	4	E
2023	2	D
2024	5	E
2025	5	E
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $4,194.

Date	Type	Amount / length
Nov 6, 2023	Fine	$4,194

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.25	4.31	3.95	top 11% in California; top 10% in the U.S.
Registered Nurse hours	1.03	0.61	0.69	top 10% in California; top 14% in the U.S.
Weekend total nurse staffing	4.65	3.90	3.50	top 11% in California; top 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.51	0.51	0.48	top 30% in California; top 32% in the U.S.
Total nursing staff turnover (%)	34.8	36.7	45.8	top 45% in California; top 24% in the U.S.
RN turnover (%)	47.1	38.1	42.9	bottom 31% in California; bottom 40% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.03, RN 0.79, weekend 3.57. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bmo Bank National Association	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/10/2023
Mastrocola, Lois	Individual	W-2 Managing Employee	NOT APPLICABLE	09/20/2023
Mastrocola, Lois	Individual	Corporate Officer	NOT APPLICABLE	07/21/2017
Olds, Thomas	Individual	Corporate Officer	NOT APPLICABLE	07/21/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Auburn Oaks Care Center	0.1 mi	Auburn, CA	★★★★★	4/5
Westview Healthcare Center	0.8 mi	Auburn, CA	★★☆☆☆	1/5	abuse
Auburn Ravine Healthcare Center	3.1 mi	Auburn, CA	★★★★★	4/5
Rock Creek Care Center	4.0 mi	Auburn, CA	★★★★★	4/5
Lincoln Meadows Care Center	11.4 mi	Lincoln, CA	★★★★★	4/5
Oak Ridge Healthcare Center	16.3 mi	Roseville, CA	★★★★☆	3/5
Roseville Point Health & Wellness Center	16.6 mi	Roseville, CA	★★☆☆☆	2/5	abuse
Roseville Care Center	17.1 mi	Roseville, CA	★★★☆☆	2/5	abuse
Pine Creek Care Center	17.1 mi	Roseville, CA	★★★★★	4/5
Folsom Care Center	18.5 mi	Folsom, CA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Auburn →

Facility data as of CMS processing date 2026-08-01. CCN 555744.

The Care File

Visit checklist — Siena Skilled Nursing & Rehabilitation Center

11600 Education Street, Auburn, CA 95603 · 5308890707

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $4,194

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555744 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)